Delivery System Reform Incentive Payment (DSRIP) Program Compliance

Delivery System Reform Incentive Payment (DSRIP) Program Compliance

The Office of the Medicaid Inspector General (OMIG) publishes DSRIP Compliance Guidance on a periodic basis. DSRIP Compliance Guidance is not a regulation, but it is meant to provide advice and guidance on how OMIG will interpret and apply legal and regulatory requirements associated with New York State's mandatory compliance program obligation and how those obligations apply to Medicaid providers participating in the DSRIP Program. OMIG strongly recommends that Medicaid providers consult OMIG's website regularly for information on new DSRIP Compliance Guidance, Compliance Guidance, Compliance Alerts, and other information that will assist providers in their compliance efforts. OMIG also recommends that Medicaid providers subscribe to OMIG's Listserv. The publication of any new compliance resources will be announced via the Listserv.

DSRIP is the main mechanism by which New York State is implementing the Medicaid Redesign Team (MRT) Waiver Amendment. DSRIP's purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25 percent over five years. Up to $6.42 billion dollars are allocated to this program with payouts based upon achieving predefined results in system transformation, clinical management and population health. To learn more about DSRIP, visit the New York State Department of Health's website.

Providers with questions regarding Compliance Guidance or any Medicaid compliance-related issue should send inquiries to the Office of Medicaid Inspector General's Bureau of Compliance at [email protected].

 

2015

(DSRIP Compliance Guidance 2015-02 is a joint publication from OMIG and the NYS Department of Health [DOH])